Ab Fab Fit

Fitness. Wellness. Greatness!
HEALTH INFORMATION SHEET & WAIVER Name________________________________________E-mail: __________________________________ Ph#____________________Date of Birth__________Preferred Location______________________ Emergency contact & Ph#______________________________________________________________ How did you hear about Ab Fab Fit? ___________________________________________________ Fitness, Wellness & Greatness goals: __________________________________________________ _______________________________________________________________________ __________________ All health information will be kept confidential. Do you have asthma? Yes □ No □ Diabetes? Yes □ No □ Heart disease? Yes□No □ Recent or relevant injuries? _____________________________________________________________ Other health details? ___________________________________________________________________
Physical Activity Waiver of Negligence & Complete Release of Liability: I wish to participate in Ab Fab Fit training with Gabrielle Miller and I understand the program will involve intense exercise. I understand that I am cautioned not to overwork my body and to do only movements I can safely execute. I am in good health and capable of participating in Ab Fab Fit training, and my medical care provider has approved my participation. I acknowledge that I alone am solely responsible for my personal health and safety. I also acknowledge full and sole responsibility for my own medical expenses, and I am responsible for any and all medical expenses incurred on my behalf. I understand that any fitness activities carry with them the potential for harm -- both to myself and to my property, including but not limited to, loss of or damage to my possessions, bodily injury, and death. I hereby certify that I understand and accept any and all risks associated with my participation in the training, and I agree to release and hold harmless Gabrielle Miller and Ab Fab Fit from and against any and all liability, for any and all harm to myself or to my property, that may arise from my Gabrielle Miller ● Ab Fab Fit ● 415.425.9267 ● Gab@AbFabFit.com

any and all rights to claims from damages arising from any illness. void. and on behalf of my heirs. that the remaining portions shall remain in full force. be held to be invalid. my executors and administrators. I am aware that this is a RELEASE OF LIABILITY and a contract between me and Gabrielle Miller of Ab Fab Fit and I sign of my own free will.participation. I hereby waive for myself. injury.com .425. occurrence or aggravation to me as a result of participation with Gabrielle Miller and Ab Fab Fit training. ________________________________________ ___________________ Signature Date Gabrielle Miller ● Ab Fab Fit ● 415.9267 ● Gab@AbFabFit. illegal or unenforceable. for any reason. I HAVE CAREFULLY READ THIS WAIVER AND FULLY UNDERSTAND ITS CONTENTS. I understand that if any of the provisions contained in this Waiver and Release shall.

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